PURDUE UNIVERSITY

FORT WAYNE, IN
NPI1053512004
Doing Business AsIPFW DENTAL HYGIENE CLINIC
Entity TypeOrganization
Authorized ContactJOAN M VAUGHAN
Director Hipaa Privacy Compliance
765-496-1927
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2007-05-29
Last Update Date2022-08-02
Business Address
PURDUE UNIVERSITY
2101 EAST COLISEUM BOULEVARD NEFF HALL ROOM 109
FORT WAYNE, IN 46805-1499
Phone number: 260-481-6575
Mailing Address
PURDUE UNIVERSITY
601 STADIUM MALL DRIVE
WEST LAFAYETTE, IN 47907-2052
Phone number: 765-496-1927